TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) CATHERINE E KOZIK........................................................................ Secretary	1.00 .......................2.00	X	X	0	0	0
(2) DAVID C BROWN........................................................................ Treasurer	1.00 .......................2.00	X	X	0	0	0
(3) MICHAEL VIVODA........................................................................ CEO	1.00 .......................49.00	X	X	0	912,060	36,090
(4) RICHARD A MARK........................................................................ Chair	1.00 .......................2.00	X	X	0	0	0
(5) WILLIAM P FLESCH........................................................................ Vice Chair	1.00 .......................2.00	X	X	0	0	0
(6) BRADLEY J KINSEY........................................................................ Director	1.00 .......................2.00	X		0	0	0
(7) C WILLIAM POLLARD........................................................................ Director	1.00 .......................2.00	X		0	0	0
(8) DONALD VAN PELT........................................................................ Director	1.00 .......................2.00	X		0	0	0
(9) JAMES E COMERFORD........................................................................ Director	1.00 .......................2.00	X		0	0	0
(10) JAMES G GIBLIN MD........................................................................ Director	1.00 .......................2.00	X		85,250	0	0
(11) JOSEPH G CACCHIONE MD........................................................................ Director	1.00 .......................2.00	X		0	0	0
(12) KAY CLANCY........................................................................ Director	1.00 .......................3.00	X		0	0	0
(13) MANNY FAVELA........................................................................ Director	1.00 .......................2.00	X		0	0	0
(14) MATTHEW J ROSS MD........................................................................ Director	1.00 .......................2.00	X		0	0	0
(15) MICHAEL J KACHMER........................................................................ Director	1.00 .......................2.00	X		0	0	0
(16) PATRICK J FLINN........................................................................ Director	1.00 .......................2.00	X		0	0	0
(17) PHILIP A BRANSHAW........................................................................ Director	1.00 .......................2.00	X		0	909	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) ROGER T HARRIS........................................................................ Director	1.00 .......................2.00	X					0	0	0
(19) SCOTT E FORE........................................................................ Director	1.00 .......................2.00	X					0	0	0
(20) STEPHEN R HOLTSFORD MD........................................................................ Director	1.00 .......................2.00	X					0	47,084	0
(21) TIMOTHY P MOEN........................................................................ Director	1.00 .......................2.00	X					0	0	0
(22) WILLIAM A WOLFORD........................................................................ Director	1.00 .......................2.00	X					0	0	0
(23) JOANNE C STREZO........................................................................ Asst Secy to BOD (partial year)	1.00 .......................47.00		X				0	66,607	18,112
(24) JOHN ORSINI........................................................................ CFO	1.00 .......................49.00		X				0	0	0
(25) KAREN DIERSEN........................................................................ Asst Secretary to the BOD (partial year)	1.00 .......................49.00		X				0	98,203	14,923
(26) MAUREEN TAUS........................................................................ VP/Controller & Asst Treasurer	1.00 .......................48.00		X				0	496,816	19,729
(27) MICHAEL HOLZHUETER........................................................................ VP-Legal & Asst Secy. to the BOD	1.00 .......................49.00		X				0	556,476	47,124
(28) BRIAN LEMON........................................................................ CDH President and System EVP	40.00 .......................0			X			230,646	0	7,370
(29) AVI MAZUMDAR MD........................................................................ Physician	40.00 .......................0				X		643,445	0	27,861
(30) DEBRA O'DONNELL........................................................................ VP-Pt Care Svcs/CNO	40.00 .......................2.00				X		571,438	0	34,042
(31) HARISH SHOWNKEEN MD........................................................................ Physician	40.00 .......................0				X		1,442,288	0	47,501
(32) KEVIN P MOST DO........................................................................ VP-Medical Affairs	40.00 .......................1.00				X		518,061	0	25,982
(33) RAJEEV DEVESHWAR MD........................................................................ Physician	40.00 .......................0				X		645,249	0	42,184
(34) JAMES T SPEAR........................................................................ Former CFO	0.00 .......................0.00					X	0	1,248,934	38,996
(35) LUKE MCGUINNESS........................................................................ Former CEO	0.00 .......................0.00					X	0	3,517,593	33,471
(36) ROBERT FRIEDBERG........................................................................ former CDH key employee, now President of Delnor-Community Hospital, a related organization	1.00 .......................44.00					X	0	829,822	44,576

(A) Name and business address	(B) Description of services	(C) Compensation
CDH-DELNOR HEALTH SYSTEM27W353 JEWELL RDWINFIELDIL60190	MANAGEMENT SERVICES	59,990,460
ARAMARK SERVICES25271 NETWORK PLCHICAGOIL606731252	CONTRACTED SERVICES	11,147,651
EPIC SYSTEMS CORPPO BOX 88314MILWAUKEEWI532880314	CONSULTING/EMR	5,027,391
INTERNATIONAL CONTRACTORS INC977 SOUTH ROUTE 83ELMHURSTIL60126	CONSTRUCTION	4,849,383
PEPPER CONSTRUCTION18505 WEST CREEK DRTINLEY PARKIL60477	CONSTRUCTION	4,345,767
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 102

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	1,728,734	1,728,734
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	166,431	166,431
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	520,095		520,095
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	194,253,933	190,368,854	3,885,079
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,665,005	6,531,705	133,300
9	Other employee benefits .......	25,866,981	25,349,641	517,340
10	Payroll taxes ...........	12,768,592	12,513,220	255,372
11	Fees for services (non-employees):
a	Management ......	92,199,511		92,199,511
b	Legal .........	20,313		20,313
c	Accounting ...........	409,370		409,370
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	48,825,779	43,914,010	4,911,769	0
12	Advertising and promotion ....	395,809		395,809
13	Office expenses .......	5,147,194	4,632,475	514,719
14	Information technology ......	2,869,292	2,295,434	573,858
15	Royalties ..	0
16	Occupancy ...........	24,706,762	24,212,627	494,135
17	Travel ............	912,341	638,639	273,702
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	304,669	243,735	60,934
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	57,257,847	56,112,690	1,145,157
23	Insurance ..............	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PATIENT CARE SUPPLIES	113,437,717	113,437,717
b	BAD DEBT EXPENSE	56,616,219	56,616,219
c	TAX EXPENSE ON UBI	7,844,715		7,844,715
d	PROVIDER TAX/REGULATORY FEES	11,520,199	11,520,199
e	All other expenses	233,684	85,582	148,102	0
25	Total functional expenses. Add lines 1 through 24e	664,671,192	550,367,912	114,303,280	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).	0

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	135,933	1	503,249
2	Savings and temporary cash investments .........	10,111,838	2	3,562,382
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	140,000,526	4	149,309,435
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6	0
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	1,824,961	8	2,133,239
9	Prepaid expenses and deferred charges ..........	8,586,653	9	10,096,788
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	918,756,673
b	Less: accumulated depreciation .....	10b	378,828,585	553,869,034	10c	539,928,088
11	Investments—publicly traded securities ..........	298,327,178	11	331,633,135
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	16,584,221	15	21,736,832
16	Total assets. Add lines 1 through 15 (must equal line 34)......	1,029,440,344	16	1,058,903,148
	17	Accounts payable and accrued expenses .........	107,553,444	17	104,061,149
18	Grants payable .................	9,006	18	62,398
19	Deferred revenue ................		19	7,083,333
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	6,155,977	25	31,151,883
26	Total liabilities. Add lines 17 through 25.........	113,718,427	26	142,358,763
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	915,721,917	27	908,014,473
28	Temporarily restricted net assets ...........		28	8,529,912
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	915,721,917	33	916,544,385
34	Total liabilities and net assets/fund balances ........	1,029,440,344	34	1,058,903,148

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number

36-2513909

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number

36-2513909

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization CENTRAL DUPAGE HOSPITAL ASSOCIATION

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization CENTRAL DUPAGE HOSPITAL ASSOCIATION

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number

36-2513909

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number

36-2513909

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

51,434

Total. Add lines 1c through 1i ...............................

51,434

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Description of the activities reported on Lines 1a through 1i	Schedule C, Part II-B, Line 1	PART II-B, LINE 1I: A PORTION OF THE DUES PAID TO HOSPITAL TRADE ASSOCIATIONS WAS DETERMINED BY THOSE ORGANIZATIONS TO HAVE BEEN USED IN THEIR LOBBYING ACTIVITIES ON BEHALF OF THE HOSPITAL INDUSTRY.

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number

36-2513909

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	5,483,018	5,265,230	4,623,441	4,359,240	4,632,175
b	Contributions ........	10,100	12,631	32,212	73,315	299,599
c	Net investment earnings, gains, and losses	32,000	205,157	637,454	198,755	-550,985
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........			27,877	7,869	21,549
f	Administrative expenses ....
g	End of year balance ......	5,525,118	5,483,018	5,265,230	4,623,441	4,359,240

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	4,916,541		4,916,541
b	Buildings ................	471,565,303	141,947,153	329,618,150
c	Leasehold improvements ............	1,335,274	311,269	1,024,005
d	Equipment ................	404,271,104	225,457,688	178,813,416
e	Other .................	36,668,451	11,112,475	25,555,976
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				539,928,088

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		8,483,335
DUE TO RELATED ORGANIZATIONS		22,668,548








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		31,151,883
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Intended uses of endowment funds	Schedule D, Part V, Line 4	THE ENDOWMENTS ARE HELD BY CADENCE HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION, AND ARE USED TO SUPPORT CDH AND CENTRAL DUPAGE PHYSICIAN GROUP'S HOMECARE PHYSICIANS PROGRAM
FIN 48 (ASC 740) footnote	Schedule D, Part X, Line 2	THE CORPORATIONS APPLY ASC SUBTOPIC 740-10, INCOME TAXES - OVERALL, WHICH ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, THE CORPORATIONS MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AS OF JUNE 30, 2013, THE CORPORATIONS DO NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS.

Schedule D (Form 990) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number

36-2513909

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..			112,947,760	93,114,394	19,833,366	3.660 %
b	Medicaid (from Worksheet 3, column a) ....			58,328,416	37,539,290	20,789,126	3.840 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs .	0	0	171,276,176	130,653,684	40,622,492	7.500 %
Other Benefits				3,886,527		3,886,527	0.720 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..			3,886,527		3,886,527	0.720 %
f	Health professions education (from Worksheet 5) ..			943,082		943,082	0.170 %
g	Subsidized health services (from Worksheet 6) ..					0	0 %
h	Research (from Worksheet 7)			424,744		424,744	0.080 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)			1,630,664		1,630,664	0.300 %
j	Total. Other Benefits ..	0	0	6,885,017	0	6,885,017	1.270 %
k	Total. Add lines 7d and 7j .	0	0	178,161,193	130,653,684	47,507,509	8.770 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense
1	Physical improvements and housing					0
2	Economic development					0
3	Community support			60,000		60,000
4	Environmental improvements					0
5	Leadership development and training for community members					0
6	Coalition building					0
7	Community health improvement advocacy					0
8	Workforce development					0
9	Other					0
10	Total	0	0	60,000	0	60,000

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

9,826,987

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

137,103,057

Enter Medicare allowable costs of care relating to payments on line 5.....

184,755,538

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-47,652,481

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, and primary website address
1	CENTRAL DUPAGE HOSPITAL 25 N WINFIELD ROAD WINFIELD,IL60190	X	X	X	X

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CENTRAL DUPAGE HOSPITAL
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 300% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 600% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?0
Name and address		Type of Facility (describe)
1	CDH-BARTLETT CONVENIENT CARE 820 ROUTE 59 BARTLETT,IL60103	OUTPATIENT CLINIC
2	CDH-CHARLESTOWNE CONVENIENT CARE 2900 FOXFIELD RD ST CHARLES,IL60174	OUTPATIENT CLINIC
3	CDH-DANADA CONVENIENT CARE 7 BLANCHARD CIRCLE WHEATON,IL60187	OUTPATIENT CLINIC
4	CDH-GLEN ELLYN CONVENIENT CARE 885 ROOSEVELT RD GLEN ELLYN,IL60137	OUTPATIENT CLINIC
5	CDH-RIVER NORTH CONVENIENT CARE 636 RAYMOND DRIVE 106 NAPERVILLE,IL60563	OUTPATIENT CLINIC
6	CDH-STRATFORD CONVENIENT CARE 231 S GARY AVENUE BLOOMINGDALE,IL60108	OUTPATIENT CLINIC
7	CDH-PHYSICAL THERAPY AT HEALTH TRACK 875 ROOSEVELT ROAD GLEN ELLYN,IL60137	OUTPATIENT CLINIC
8	CDH BEHAVIORAL HEALTH SERVICES 27W350 HIGH LAKE RD WINFIELD,IL60190	OUTPATIENT CLINIC
9
10

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
Community benefit report prepared by related organization	Schedule H, Part I, Line 6a	CDH-DELNOR HEALTH SYSTEM (D/B/A CADENCE HEALTH)
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	THE COSTING METHOD USED TO DETERMINE AMOUNTS REPORTED WAS DETERMINED USING A COST TO CHARGE RATIO BASED ON THE MEDICARE COST REPORT.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	56,616,219
Subsidized Health Services	Schedule H, Part I, Line 7g	N/A
Bad debt expense - methodology used to estimate amount	Schedule H, Part III, Line 2	THE ORGANIZATION FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. OUR AGED RECEIVABLES ARE VALUED AND SUBJECT TO AN INDEPENDENT AUDIT. LINE 2'S COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. PATIENT ACCOUNT BALANCES ARE ONLY CONSIDERED FOR BAD DEBT AFTER FIRST APPLYING ALL CONTRACTUAL DISCOUNTS AND PAYMENTS AND SCREENING FOR CHARITY ELIGIBILITY.
Bad debt expense - methodology used to estimate amount as community benefit	Schedule H, Part III, Line 3	FOR LINE 3, WHILE WE RECOGNIZE THAT THERE WILL MOST DEFINITELY BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF WE KNOW THE PATIENT IS ELIGIBLE, THEY WOULD FALL UNDER CHARITY AND NOT BAD DEBT.
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	THIS FOOTNOTE CAN BE FOUND ON PAGE 17 OF THE CDH-DELNOR HEALTH SYSTEM CONSOLIDATED AUDIT REPORT: PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENTS' ACCOUNTS RECEIVABLE, THE CORPORATIONS ANALYZE THEIR PAST HISTORY AND IDENTIFY TRENDS FOR EACH OF THEIR MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, THE CORPORATIONS ANALYZE CONTRACTUALLY DUE AMOUNTS AND PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (E.G., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE), THE CORPORATIONS RECORD A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	THE ORGANIZATION'S SHORTFALL ON THE MEDICARE PROGRAM SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF OUR COSTS TO THESE PATIENTS. THESE ARE RESIDENTS OF OUR COMMUNITY THAT NEED CARE. THE COSTING METHODOLOGY USED FOR LINE 6 IS THE MEDICARE COST REPORT COST-TO-CHARGE RATIO.
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	IF IT IS KNOWN THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THESE ACCOUNTS ARE ADJUSTED TO CHARITY AND NOT PURSUED WITH A COLLECTION AGENCY. FOR ALL OTHER ACCOUNTS, IF SENT TO A COLLECTION AGENCY AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO THE ORGANIZATION FOR CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE.
Other Content in Needs Assessment	Schedule H, Part V Section B, Line 1j	(1) CENTRAL DUPAGE HOSPITAL - * HEALTHCOLLABORATIVES AND KEY COMMUNITY STAKEHOLDERS * DESCRIPTION OF THE PLAN TO RESPOND TO THE NEEDS - SUMMARY OF KEY NEXT ACTION STEPS IN THE COMMUNITY BENEFIT STRATEGIC PLANNING PROCESS ;
Community Served by Needs Assessment	Schedule H, Part V Section B, Line 3	(1) CENTRAL DUPAGE HOSPITAL - INPUT WAS GATHERED VIA A VARIETY OF METHODS, INCLUDING A FORMAL HEALTH BEHAVIOR SURVEY, INFORMATION-GATHERING MEETINGS WITH COMMUNITY LEADERS, FOCUS GROUPS WITH RESIDENTS, INTERVIEWS WITH KEY INDIVIDUALS WITH INTIMATE KNOWLEDGE OF THE HEALTH INDICATORS AND NEEDS OF THE COMMUNITY. EXISTING HEALTH COLLABORATIVES * IMPROVING ACCESS FOR THE UNDERSERVED -A BROAD-BASED COLLABORATIVE INVOLVING CDH, AS WELL AS MANY OTHER HEALTHCARE PROVIDERS AND SOCIAL SERVICE AGENCIES, ADDRESSES ACCESS ISSUES FOR LOW-INCOME AND MINORITY POPULATIONS IN DUPAGE COUNTY. THESE INCLUDE IN-KIND SERVICE CONTRIBUTIONS AND ADMINISTRATIVE SUPPORT TO DUPAGE HEALTH COALITION'S ACCESS DUPAGE PROGRAM FOR UNINSURED LOW INCOME ADULTS, AS WELL AS FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS. COLLABORATIVE REFERRAL ARRANGEMENTS AMONG PARTICIPANTS HELP LINK PATIENTS TO PRIMARY CARE PHYSICIANS AND OTHER ONGOING CARE. * ADDRESSING CHRONIC ILLNESS AND MENTAL HEALTH NEEDS - EFFORTS LED BY THE COUNTY HEALTH DEPARTMENT ARE UNDERWAY TO CREATE THE COMPREHENSIVE NETWORK OF PREVENTIVE, WELLNESS, MAINTENANCE, AND SOCIAL SUPPORT SERVICES NEEDED TO IMPROVE THE LIVES OF COMMUNITY MEMBERS SUFFERING FROM CHRONIC ILLNESS AND MENTAL HEALTH ISSUES. CDH AND OTHER PROVIDERS ARE PARTICIPATING. * PROMOTING WELLNESS AND PREVENTION - CDH JOINS OTHER PROVIDERS AND COMMUNITY GROUPS IN ADDRESSING A VARIETY OF COMMUNITY-WIDE HEALTH CHALLENGES INCLUDING CHILDHOOD AND ADULT OBESITY AND PREVENTION OF HEART DISEASE, CANCER, AND STROKE. KEY COMMUNITY STAKEHOLDERS * DUPAGE COUNTY HEALTH COALITION - ACCESS DUPAGE IS A COLLABORATIVE EFFORT BY LOCAL INDIVIDUALS AND ORGANIZATIONS WHOSE GOAL IS TO PROVIDE ACCESS TO MEDICAL AND MENTAL HEALTH SERVICES TO LOW-INCOME RESIDENTS IN DUPAGE COUNTY. THE PROGRAM IS A PARTNERSHIP OF HOSPITALS, PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICE AGENCIES, AND COMMUNITY GROUPS. IT PROVIDES SERVICES TO ADULT COUNTY RESIDENTS WHO ARE UNDER AGE 65, HAVE HOUSEHOLD INCOMES BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL, HAVE NO MEDICAL INSURANCE, AND ARE NOT ELIGIBLE FOR PUBLIC HEALTH INSURANCE PLANS. THE AVERAGE WEEKLY ENROLLMENT FOR ACCESS DUPAGE IN 2012 WAS 9,696 PEOPLE. THE TOTAL NUMBER OF PERSONS ENROLLED AT SOME POINT DURING 2012 WAS 14,402 WITH A RE-ENROLLMENT RATE FROM OF 63.8 PERCENT. * DUPAGE COUNTY HEALTH DEPARTMENT - THE DUPAGE COUNTY HEALTH DEPARTMENT, LOCATED IN WHEATON, ILLINOIS, IS CHARGED WITH PROVIDING CORE PUBLIC HEALTH FUNCTIONS RELATED TO ASSESSMENT, ASSURANCE, AND POLICY DEVELOPMENT. TO THAT END, THE HEALTH DEPARTMENT OFFERS A COMPREHENSIVE ARRAY OF SERVICES DESIGNED IN RESPONSE TO COMMUNITY NEED AND PUBLIC MANDATE. CDH, AS WELL AS OTHER DUPAGE COUNTY HOSPITALS, HEALTH PROFESSIONALS, AND HEALTH-RELATED SOCIAL SERVICE AGENCIES, SUPPORT THE HEALTH DEPARTMENT IN A VARIETY OF WAYS INCLUDING PARTICIPATION IN THE IPLAN PROCESS AND MENTAL HEALTH INITIATIVE. THE HEALTH DEPARTMENT IS AN ANCHOR MEMBER OF THE DUPAGE HEALTH COALITION, AND THEIR EXECUTIVE DIRECTOR SERVES ON THE BOARD. THE HEALTH DEPARTMENT ALSO SERVES AS THE FIDUCIARY AGENT FOR THE FORWARD INITIATIVE. * DUPAGE FEDERATION ON HUMAN SERVICE REFORM - THE DUPAGE FEDERATION ON HUMAN SERVICES REFORM IS A COLLABORATION OF GOVERNMENT AND KEY COMMUNITY ORGANIZATIONS THAT IDENTIFY WAYS A LOCAL COMMUNITY CAN ADDRESS ITS HUMAN NEEDS USING ITS OWN RESOURCES AND RESOURCEFULNESS. THE FEDERATION SERVES AS AN ORGANIZER AND CATALYST IN DUPAGE COUNTY, BRINGING TOGETHER THE RESPONSIBLE ORGANIZATIONS AND ADVOCATING FOR THE DEVELOPMENT OF REAL SOLUTIONS. THE ORGANIZATION EFFECTS CHANGE BY MANAGING COLLABORATIONS AND PROJECTS, IDENTIFYING NEEDED SYSTEMS CHANGES, AND MAKING RECOMMENDATIONS FOR IMPROVEMENT. THE FEDERATION'S VALUE LIES IN ITS EXPERTISE AND OBJECTIVITY. THE FACT THAT IT IS NOT A DIRECT SERVICE PROVIDER PRESERVES ITS ABILITY TO LOOK AT THE BIG PICTURE, ADDRESSING CROSS-CATEGORICAL PROBLEMS IN HUMAN SERVICES. THIS IS ACHIEVED THROUGH A STRONG, INVOLVED BOARD, A SYNERGISTIC PARTNERSHIP BETWEEN BOARD AND STAFF, AND THROUGH LONG-TERM RELATIONSHIPS WITH KEY DECISION-MAKERS AND ORGANIZATIONAL PARTNERS (WWW.DUPAGEFEDERATION.ORG). CDH AND OTHER COMMUNITY PROVIDERS PARTICIPATE ACTIVELY IN BOTH THE FEDERATION AND ITS INITIATIVES. * FORWARD INITIATIVE - FORWARD IS A NEW LEADERSHIP INITIATIVE AIMED AT REVERSING THE TREND OF CHILDHOOD OBESITY IN DUPAGE COUNTY. ONE OF THE GOALS IS TO IDENTIFY THE MAGNITUDE OF THE PROBLEM IN ORDER TO DEVELOP APPROPRIATE INTERVENTIONS. PRELIMINARY DATA SHOWS THAT THE OVERWEIGHT AND OBESITY RATE FOR DUPAGE COUNTY IS 60.9 PERCENT. FOR YOUTH BETWEEN THE AGES OF 5 AND 17, THE RATE IS 25.2 PERCENT, DOWN FROM 34 PERCENT IN 2009. CDH AND OTHER COMMUNITY PROVIDERS AND GROUPS ACTIVELY PARTICIPATE IN THIS COALITION BY PROVIDING FUNDING, PLANNING, LEADERSHIP, AND IN-KIND SUPPORT FOR RESEARCH AND OUTREACH ACTIVITIES. * DUPAGE COUNTY IPLAN 2015 - IPLAN (ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS) IS A SERIES OF PLANNING ACTIVITIES LED BY THE CERTIFIED LOCAL HEALTH DEPARTMENT. IPLAN 2015 CLEARLY DEMONSTRATES THE DUPAGE COUNTY HEALTH DEPARTMENT'S COMMITMENT TO THE TEN ESSENTIAL PUBLIC HEALTH SERVICES. * MUNICIPALITIES, SCHOOL AND PARK DISTRICTS, AND NON-GOVERNMENTAL COMMUNITY GROUPS - IN ADDITION TO THE COLLABORATIVES NOTED ABOVE, CDH MAINTAINS DIRECT RELATIONSHIPS WITH A VARIETY OF GOVERNMENT AND NON-GOVERNMENT ORGANIZATIONS THROUGHOUT ITS SERVICE AREA. THESE INCLUDE MUNICIPALITIES, PARK DISTRICTS, SCHOOL DISTRICTS, CHURCHES, SERVICE CLUBS, AND RESEARCH AND SUPPORT ORGANIZATIONS SUCH AS THE AMERICAN HEART ASSOCIATION. ASSISTANCE FROM CDH AND OTHER COMMUNITY PROVIDERS INCLUDES IN-KIND DONATIONS, FUNDRAISING SUPPORT, AND PARTICIPATION IN WELLNESS, PREVENTION, SCREENING, AND OTHER HEALTH-RELATED ACTIVITIES. CDH HAS A LONG-STANDING HISTORY OF PROVIDING SUPPORT, LEADERSHIP, AND COALITION-BUILDING IN SUPPORT OF HEALTH AND WELLNESS INITIATIVES. HIGHLIGHTS OF THESE PROGRAMS ARE DETAILED IN OUR ANNUAL COMMUNITY BENEFIT REPORT. OTHER KEY STAKEHOLDERS DUPAGE COMMUNITY HUNGER NETWORK HTTP://COMMUNITYHUNGERNETWORK.ORG/ NORTHERN ILLINOIS FOOD BANK HTTP://SOLVEHUNGERTODAY.ORG/ PEOPLE'S RESOURCE CENTER (PRC) HTTP://WWW.PEOPLESRC.ORG/ PROACTIVE KIDS FOUNDATION HTTP://PROACTIVEKIDS.ORG/ABOUT MEIER CLINIC'S FAMILY BRIDGES HTTP://WWW.MEIERCLINICS.COM/ILLINOIS INTERFAITH MENTAL HEALTH HTTP://INTERFAITHMHC.ORG/ABOUT-THE-COALITION ;
Availability of Needs Assessment	Schedule H, Part V Section B, Line 5c	(1) CENTRAL DUPAGE HOSPITAL - PRINTED AND DISTRIBUTED TO KEY HEALTH LEADERS OF THE COMMUNITY. ;
Needs not addressed in Needs Assessment	Schedule H, Part V Section B, Line 7	(1) CENTRAL DUPAGE HOSPITAL - TWO ADDITIONAL NEEDS WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT - PRENATAL AND PERINATAL CARE FOR UNDERSERVED POPULATIONS AND INFECTIOUS AND SEXUALLY TRANSMITTED DISEASE RATES ABOVE TARGETS. WHILE WE STILL CONSIDER THESE AS PRIORITY NEEDS, WE BELIEVE THE MOST EFFECTIVE WAY TO RESPOND IS BY CONTINUING TO PARTICIPATE IN COUNTY-LED INITIATIVES TO ADDRESS THESE CONCERNS AND SUPPORTING THE WORK OF QUALIFIED ORGANIZATIONS PROVIDING AMBULATORY CARE TO THE UNDERSERVED. CHILD AND MATERNAL HEALTH - THERE IS A NEED FOR ADDITIONAL EFFORT TO IMPROVE PRENATAL AND PERINATAL CARE, AND TO TARGET HIGH-RISK GROUPS SUCH AS TEENAGERS AND OLDER WOMEN IN ADDITION TO MONITORING HISTORICALLY HIGHER INFANT MORTALITY RATES AMONG AFRICAN-AMERICANS RESIDENTS OF DUPAGE COUNTY, SUGGESTING THAT INTERVENTIONS TARGETING THIS POPULATION MAY HELP. WE BELIEVE THAT WE ARE BEST SUITED TO ASSIST IN MEETING THESE NEEDS IN TWO WAYS: (1) THROUGH THE SUPPORT OF LOCAL MEDICAL HOME PROVIDERS FOR THE UNDERSERVED AND (2) BY CONTINUING TO OFFER STATE OF THE ART PRENATAL EDUCATION SERVICES TO ALL MEMBERS OF OUR COMMUNITY. INFECTIOUS AND SEXUALLY TRANSMITTED DISEASE RATES ABOVE TARGETS MAINTAINING HIGH LEVELS OF VACCINATION IN THE POPULATION IS THE BEST WAY TO CONTROL THESE DISEASES. VACCINE RATES FOR PNEUMONIA AND FLU AMONG OLDER DUPAGE RESIDENTS ARE BELOW NATIONAL TARGETS. IMPROVING VACCINE RATES FOR ESTABLISHED DISEASES REQUIRES PUBLIC OUTREACH AND COORDINATION AMONG PROVIDERS. MEETING EMERGING DISEASE THREATS ALSO REQUIRES HIGHLY COORDINATED RAPID MOBILIZATION OF PUBLIC HEALTH AND PROVIDER RESOURCES. SEXUALLY TRANSMITTED DISEASE RATES - WHILE STILL BELOW NATIONAL AND STATE LEVELS, RATES OF SEXUALLY TRANSMITTED DISEASE HAVE RISEN IN DUPAGE COUNTY IN RECENT YEARS. EDUCATION AND OUTREACH AS WELL AS ACCESS TO CONFIDENTIAL AND AFFORDABLE TREATMENT ARE NEEDED TO ADDRESS THESE DISEASES. CDH WILL CONTINUE TO PARTICIPATE IN COUNTY-LED INITIATIVES IN THESE AREAS IN ADDITION TO SUPPORTING THE WORK OF HEALTHCARE PROVIDERS FOR THE UNDERSERVED. ;
Other actions taken before collection actions	Schedule H, Part V Section B, Line 18e	(1) CENTRAL DUPAGE HOSPITAL - NONE OF THE ACTIONS LISTED IN LINE 16 WERE INITIATED PRIOR TO NOTIFYING THE INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.;
Means used to determine amounts billed	Schedule H, Part V Section B, Line 20d	(1) CENTRAL DUPAGE HOSPITAL - A 100% DISCOUNT IS GIVEN TO FAP-ELIGIBLE PATIENTS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE (FPG). A DISCOUNT IS GIVEN TO FAP-ELIGIBLE PATIENTS WHOSE INCOME IS BETWEEN 301% AND 600% (FPG), WITH THE MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE PATIENTS BEING CALCULATED USING THE STATE OF ILLINOIS' HOSPITAL UNINSURED PATIENT DISCOUNT ACT GUIDELINES WHICH SPECIFY THAT ELIGIBLE PATIENTS (UP TO 600% FPG) SHOULD BE CHARGED NO MORE THAN 135% OF HOSPITAL COSTS, WHICH FOR CDH APPROXIMATES 30% OF CHARGES.;
Needs assessment.	Schedule H, Part VI, Line 2	ON A REGULAR BASIS, CADENCE HEALTH DEVELOPS A STRATEGIC PLAN THAT PROVIDES A ROADMAP FOR THE FUTURE OF THE HEALTHCARE ORGANIZATIONS IN ITS SYSTEM - INCLUDING CENTRAL DUPAGE HOSPITAL. THE PLAN OUTLINES TACTICS NECESSARY TO EXPAND THE HEALTH CARE SERVICES OFFERED TO OUR COMMUNITIES. TO DEVELOP THAT PLAN, CADENCE HEALTH RELIES ON A VARIETY OF SOURCES. WE PARTNER WITH PHYSICIANS AND OTHER LOCAL ORGANIZATIONS TO BETTER UNDERSTAND THE CURRENT HEALTH CARE DEMANDS. WE HOST PATIENT FOCUS GROUPS TO HEAR THEIR NEEDS DIRECTLY. DATA, INCLUDING LOCAL COMMUNITY DEMOGRAPHICS, HEALTH INDICATORS, DISEASE INCIDENCE RATES AND OTHER TRENDS, IS EVALUATED TO ENSURE WE ARE ADEQUATELY PREPARED FOR PENDING HEALTH CARE NEEDS. WE ALSO INVENTORY THE SERVICES AVAILABLE IN THE MARKET, BOTH AT CADENCE HEALTH FACILITIES AND BY OTHER HEALTH CARE PROVIDERS, TO AVOID REDUNDANCY. THIS INFORMATION ALLOWS MANAGEMENT TO MAKE RESPONSIBLE PROGRAM GROWTH AND INVESTMENT DECISIONS THAT ARE CONSISTENT WITH THE NEEDS OF THE COMMUNITY.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	INFORMATION REGARDING FINANCIAL ASSISTANCE IS POSTED AT POINTS OF SERVICE. ALL HOSPITAL EMPLOYEES IN PATIENT FINANCIAL SERVICES, PATIENT ACCESS, REGISTRATION SERVICES, FINANCIAL CLEARANCE CENTER AND THE EMERGENCY ROOM ARE FULLY VERSED IN THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, HAVE ACCESS TO THE APPLICATION FORMS, CAN PROVIDE PATIENTS WITH PRINTED MATERIAL EXPLAINING THE CHARITY CARE PROGRAM AND ARE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE HOSPITAL REPRESENTATIVE. PLEASE NOTE THAT THE REGISTRATION STAFF, CASHIERS AND FINANCIAL COUNSELORS WILL OFFER A FINANCIAL ASSISTANCE PACKET TO ALL SELF-PAY PATIENTS OR THOSE THAT EXPRESS CONCERN ABOUT THEIR FINANCIAL RESPONSIBILITY. IN ADDITION, THE FILING ORGANIZATION'S WEBSITE HAS INFORMATION EXPLAINING OUR CHARITY CARE/FINANCIAL ASSISTANCE PROGRAM, INCLUDING THE FEDERAL POVERTY GUIDELINES.
Community information.	Schedule H, Part VI, Line 4	CENTRAL DUPAGE HOSPITAL (CDH) IS LOCATED IN THE WESTERN SUBURBS OF THE CHICAGOLAND AREA. CDH'S PRIMARY AND MUCH OF ITS SECONDARY SERVICE AREA IS LOCATED IN DUPAGE COUNTY, WHICH HAS AN AREA OF 336 SQUARE MILES. DUPAGE CURRENTLY HAS A POPULATION OF 923,222 AND IS THE SECOND MOST POPULOUS COUNTY IN ILLINOIS. IN 2010, DUPAGE'S POPULATION WAS REPORTED TO HAVE A BREAKDOWN ESTIMATED TO BE 646,130 CAUCASIANS, 41,024 AFRICAN-AMERICANS, 91,793 ASIANS, AND 121,506 HISPANIC OR LATINO ORIGIN. WHILE DUPAGE COUNTY TRADITIONALLY HAS BEEN AMONG THE MOST AFFLUENT IN ILLINOIS, IN RECENT YEARS THE NUMBER OF LOW-INCOME HOUSEHOLDS HAS INCREASED SHARPLY. THE PERCENTAGE OF RESIDENTS EARNING BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL GREW NEARLY 28 PERCENT FROM 2000 TO 2005, ACCORDING TO THE DUPAGE FEDERATION ON HUMAN SERVICES REFORM. THERE WERE 13.8% OF THE RESIDENTS RECEIVING MEDICAID BENEFITS IN 2013. IN ADDITION TO CENTRAL DUPAGE HOSPITAL, THERE ARE FIVE OTHER ACUTE CARE HOSPITALS LOCATED IN DUPAGE COUNTY.
Promotion of community health	Schedule H, Part VI, Line 5	A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPOSED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF AND EXTENDS PRIVILEGES TO ALL QUALIFIED PHYSICIANS WITHIN ITS COMMUNITY. THE ORGANIZATION'S CONTINUING INVESTMENTS IN PEOPLE, TECHNOLOGY AND SERVICES BRING HIGH-INTENSITY, HIGH-TECHNOLOGY HEALTH CARE SERVICES TO DUPAGE COUNTY, DELIVERED WITH COMPASSION AND RESPECT. EVERY DOLLAR OF OUR INCOME OVER EXPENSES IS REINVESTED IN OUR COMMUNITY.
Affiliated health care system	Schedule H, Part VI, Line 6	CENTRAL DUPAGE HOSPITAL ASSOCIATION (CDH), A MEMBER ORGANIZATION OF CADENCE HEALTH, IS LOCATED IN DUPAGE COUNTY, IN THE WESTERN SUBURBS OF THE METROPOLITAN CHICAGO AREA. OTHER ORGANIZATIONS WITHIN CADENCE HEALTH INCLUDE: DELNOR-COMMUNITY HOSPITAL (COMMUNITY HOSPITAL LOCATED IN NEIGHBORING KANE COUNTY), CENTRAL DUPAGE PHYSICIAN GROUP (A NETWORK OF PRIMARY AND SPECIALTY PHYSICIANS LOCATED THROUGHOUT DUPAGE AND KANE COUNTIES), COMMUNITY NURSING SERVICE OF DUPAGE COUNTY (HOME HEALTH AND HOSPICE), CADENCE OCCUPATIONAL HEALTH (PAHCS II), CENTRAL DUPAGE SPECIAL HEALTH ASSOCIATION (INTEGRATED PHARMACY SERVICES), DELNOR-COMMUNITY RESIDENTIAL LIVING (RESIDENTIAL SERVICES FOR SENIORS), AND LIVING WELL CANCER RESOURCE CENTER. IN ADDITION TO THESE ORGANIZATIONS, CADENCE HEALTH (CDH-DELNOR HEALTH SYSTEM) SERVES AS THE PARENT ORGANIZATION AND, TOGETHER WITH TWO FOUNDATION ENTITIES (CADENCE HEALTH FOUNDATION AND DELNOR-COMMUNITY HEALTH CARE FOUNDATION), SUPPORTS THE EFFORTS OF THE DIRECT HEALTHCARE-PROVIDING ENTITIES. TOGETHER THESE ORGANIZATIONS SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITIES ACROSS THE SPECTRUM OF CARE, WITH A STRONG COMMITMENT TO WELLNESS, PREVENTATIVE CARE, AND CHARITY CARE. HEALTHCARE IS PROVIDED IN A VARIETY OF SETTINGS FROM HOMEBOUND CARE, PHYSICIAN OFFICE SERVICES, INPATIENT ACUTE CARE HOSPITAL SERVICES, AND OUTPATIENT MEDICAL CARE PROVIDED AT OUR CONVENIENT CARE CENTERS LOCATED THROUGHOUT THE COMMUNITY, PROVIDING SAME-DAY, WALK-IN CARE FOR MINOR INJURIES AND ILLNESSES. FOR MORE INFORMATION ABOUT CADENCE HEALTH, VISIT WWW.CADENCEHEALTH.ORG
State filing of community benefit report	Schedule H, Part VI, Line 7	IL

Schedule H (Form 990) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number
36-2513909

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) CADENCE HEALTH FOUNDATION 27W353 JEWELL RD WINFIELD,IL60190	36-4401289	501C3	275,000	HEALTHCARE
(2) DUPAGE COALITION (ACCESS DUPAGE) 511 THORNHILL DR SUITE M CAROL STREAM,IL60188	36-4448208	501C3	987,000	ACCESS TO HEALTHCARE FOR LOW INCOME
(3) COLLEGE OF DUPAGE FOUNDATION 425 FAWELL BLVD GLEN ELLYN,IL60137	23-7011835	501C3	53,500	HEALTHCARE INSTRUCTIONAL SUPPORT
(4) VILLAGE OF WINFIELD 27W465 JEWELL RD WINFIELD,IL60190	36-6009519	GOVERNMENT	52,000	COMMUNITY PROJECTS / PUBLIC SAFETY
(5) SPECTRIOS INSTITUTE 219 E COLE AVE WHEATON,IL60187	36-3083157	501C3	51,000	PEDIATRIC VISION OUTREACH
(6) WINFIELD EDUCATION FOUNDATION 0S150 WINFIELD RD WINFIELD,IL60190	01-0692701	501C3	45,880	STUDENT HEALTH
(7) WINFIELD SCHOOL DISTRICT 34 0S150 WINFIELD RD WINFIELD,IL60190	36-6004497	GOVERNMENT	32,480	STUDENT HEALTH
(8) ILLINOIS POISON CENTER 222 S RIVERSIDE PLZ STE 1900 CHICAGO,IL60606	36-2167008	501C3	22,166	PUBLIC HEALTH AND SAFETY
(9) GLOBAL HEALTH INITIATIVE 676 N ST CLAIR STE 2300 CHICAGO,IL60611	26-4626429	501C3	18,000	HEALTH ACCESS FOR MEDICALLY UNDERSERVED
(10) BOY SCOUTS OF AMERICA THREE FIRES COUNCIL TROOP 575 415 N 2ND ST ST CHARLES,IL60174	36-3831877	501C3	13,155	FIRST AID AND SAFETY TRAINING
(11) COMMUNITY UNIT SCHOOL DISTRICT 200 130 W PARK WHEATON,IL60189	36-2739066	GOVERNMENT	12,575	EDUCATION AND FITNESS ASSISTANCE
(12) ALIVIO MEDICAL CENTER 966 W 21ST STREET CHICAGO,IL60608	36-3661051	501C3	10,000	HEALTH ACCESS FOR MEDICALLY UNDERSERVED
(13) AMERICAN CANCER SOCIETY 1801 MEYERS RD STE 100 OAKBROOK TERRACE,IL60181	13-1788491	501C3	10,000	EDUCATION/RESEARCH/SUPPORT
(14) WHEATON COLLEGE 501 COLLEGE AVE WHEATON,IL60187	36-2182171	501C3	10,000	PERFORMING ARTS
(15) WINFIELD IN ACTION 0S623 JEFFERSON ST WINFIELD,IL60190	23-7359257	501C3	8,338	RECREATION PROGRAMS SUPPORT
(16) ADVOCATES OF THE WINFIELD RIVERWALK 27W465 JEWELL RD WINFIELD,IL60190	30-0549828	501C3	7,500	EVENT SPONSOR FOR COMMUNITY FUNDRAISER
(17) VILLAGE OF WINFIELD WINFIELD BIKEWAY PLANNING GROUP 27W465 JEWELL RD WINFIELD,IL60190	36-6009519	GOVERNMENT	7,000	COMMUNITY IMPROVEMENT
(18) HOSPITAL SISTERS MISSION OUTREACH PO BOX 1665 SPRINGFIELD,IL62705	35-2271729	501C3	6,573	MEDICAL ASSISTANCE FOR UNDERSERVED
(19) WINFIELD PARK DISTRICT 0N020 COUNTY FARM RD WINFIELD,IL60190	36-3303703	GOVERNMENT	6,000	PARK DISTRICT SCHOLARSHIP PROGRAM
(20) SPECIAL CAMPS FOR SPECIAL PEOPLE 26W684 LINDSEY WINFIELD,IL60190	36-4002804	501C3	5,058	SPECIAL NEEDS CITIZENS
(21) FRIENDS FOR THERAPEUTIC EQUINE ACTIVITIES 28W051 LIBERTY ST WINFIELD,IL60190	36-4095011	501C3	5,058	SPECIAL NEEDS CHILDREN / ADULTS
(22) AMERICAN HEART ASSOCIATION 208 S LASALLE ST STE 1500 CHICAGO,IL60604	13-5613797	501C3	5,000	EDUCATION/RESEARCH/SUPPORT
(23) UNIVERSITY OF ILLINOIS FOUNDATION 1305 W GREEN ST URBANA,IL61801	37-6006007	501C3	5,000	SUPPORT FOR CHICAGO DIABETES PROJECT
(24) THE WHEATON SOCIETY FOR CHRISTIAN EDUCATION WHEATON CHRISTIAN GRAMMAR SCHOOL 1N350 TAYLOR DR WINFIELD,IL60190	36-2210719	501C3	5,000	EDUCATION AND FITNESS ASSISTANCE
(25) AMERICAN RED CROSS 2025 E STREET NW WASHINGTON,DC20005	53-0196660	501C3	5,000	DISASTER RECOVERY ASSISTANCE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) STUDENT TUITION SCHOLARSHIPS - HEALTH EDUCATION	42	88,000
(2) MEDICAL MISSONS TRIP REIMBURSEMENTS TO THIRD WORLD COUNTRIES	17	70,931

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
Procedures for monitoring use of grant funds	Schedule I, Part I, Line 2	THE GUIDING PHILOSOPHY OF CDH'S CHARITABLE GRANT ACTIVITY IS TO NOT ONLY CONTRIBUTE OUR OWN RESOURCES, BUT TO ACTIVELY ENGAGE PARTNERS TO ASSESS, PLAN FOR AND MEET COMMUNITY HEALTH AND MEDICAL NEEDS. CDH WORKS VERY CLOSELY WITH ITS PARTNERS IN THE PROGRAMS THAT ARE SUPPORTED, IN PART, BY CDH. MONITORING OF THE USE OF GRANT FUNDS IS ACHIEVED THROUGH VARIOUS MEANS, INCLUDING ACTIVE PARTICIPATION IN PROGRAM IMPLEMENTATION, WRITTEN CONTRIBUTION AGREEMENTS, PERFORMANCE REPORTS AND, IN SOME INSTANCES, BOARD PARTICIPATION.

Schedule I (Form 990) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number

36-2513909

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)AVI MAZUMDAR MDPHYSICIAN	(i) (ii)	406,525 0	235,000 0	1,920 0	7,277 0	20,584 0	671,306 0	0 0
(2)BRIAN LEMONCDH PRESIDENT AND SYSTEM EVP	(i) (ii)	180,117 0	50,000 0	529 0	0 0	7,370 0	238,017 0	0 0
(3)DEBRA O'DONNELLVP-PT CARE SVCS/CNO	(i) (ii)	306,293 0	260,850 0	4,295 0	14,808 0	19,235 0	605,481 0	0 0
(4)HARISH SHOWNKEEN MDPHYSICIAN	(i) (ii)	1,008,801 0	428,823 0	4,664 0	15,369 0	32,131 0	1,489,788 0	0 0
(5)JAMES T SPEARFORMER CFO	(i) (ii)	0 418,976	0 452,059	0 377,899	0 16,235	0 22,761	0 1,287,930	0 0
(6)KEVIN P MOST DOVP-MEDICAL AFFAIRS	(i) (ii)	375,369 0	139,878 0	2,813 0	15,799 0	10,183 0	544,043 0	0 0
(7)LUKE MCGUINNESSFORMER CEO	(i) (ii)	0 992,240	0 2,250,000	0 275,353	0 14,708	0 18,763	0 3,551,064	0 0
(8)MAUREEN TAUSVP/CONTROLLER & ASST TREASURER	(i) (ii)	0 252,178	0 243,373	0 1,265	0 17,910	0 1,819	0 516,545	0 0
(9)MICHAEL HOLZHUETERVP-LEGAL & ASST SECY. TO THE BOD	(i) (ii)	0 335,582	0 219,325	0 1,569	0 15,192	0 31,932	0 603,600	0 0
(10)MICHAEL VIVODACEO	(i) (ii)	0 616,830	0 293,988	0 1,242	0 16,096	0 19,994	0 948,150	0 0
(11)RAJEEV DEVESHWAR MDPHYSICIAN	(i) (ii)	406,156 0	235,000 0	4,093 0	15,752 0	26,432 0	687,433 0	0 0
(12)ROBERT FRIEDBERGFORMER CDH KEY EMPLOYEE, NOW PRESIDENT OF DELNOR-COMMUNITY HOSPITAL, A RELATED ORGANIZATION	(i) (ii)	0 388,982	0 438,563	0 2,277	0 15,385	0 29,191	0 874,398	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Health or social club dues or initiation fees	Schedule J, Part I, Line 1a	CENTRAL DUPAGE HOSPITAL ASSOCIATION REIMBURSES HEALTH CLUB DUES FOR SOME EXECUTIVES AND SOME KEY EMPLOYEES. ALL EMPLOYEES ARE ELIGIBLE TO RECEIVE A HEALTH CLUB SUBSIDY IF THEY MEET OR EXCEED THE REQUIRED NUMBER OF VISITS TO THEIR HEALTH CLUB IN A GIVEN MONTH. ALL SUCH REIMBURSEMENTS OR SUBSIDIES ARE INCLUDED AS TAXABLE INCOME IN THE EMPLOYEES' W-2. EMPLOYEES LISTED IN FORM 990, PART VII, SECTION A, LINE 1A WHO RECEIVED A HEALTH CLUB DUES REIMBURSEMENT WERE: DEBRA O'DONNELL, AVI MAZUMDAR AND KEVIN MOST. THESE AMOUNTS WERE INCLUDED AS TAXABLE INCOME IN THE EMPLOYEES' W-2.
Arrangement used to establish the top management official's compensation	Schedule J, Part I, Line 3	THE FILING ORGANIZATION RELIED ON CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION, WHICH USED A COMPENSATION COMMITTEE, COMPARABILITY DATA, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, TO DETERMINE THE COMPENSATION OF ITS CEO.
Severance or change-of-control payment	Schedule J, Part I, Line 4a	ONE FORMER OFFICER RECEIVED SEVERANCE PAYMENTS DURING CY2012 FROM A RELATED ORGANIZATION. JAMES SPEAR $375,577
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	THE FORMER CHIEF EXECUTIVE OFFICER (MCGUINNESS) PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PURSUANT TO THIS PLAN, DURING CY 2012, $268,845 WAS CONTRIBUTED, IMMEDIATELY VESTED, AND DISTRIBUTED. ALL ASPECTS OF THE FORMER CHIEF EXECUTIVE OFFICER'S COMPENSATION, INCLUDING CONTRIBUTIONS TO THE SUPPLEMENTAL RETIREMENT PLAN, ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND SUPPORTED BY CONSULTANTS ENGAGED BY SUCH COMMITTEE.
COMPENSATION CONTINGENT ON NET EARNINGS	SCHEDULE J, PART I, LINE 6A	CENTRAL DUPAGE HOSPITAL (CDH) MAINTAINS AN INCENTIVE PLAN (MYSTEP) AS A COMPONENT OF COMPENSATION FOR ITS EMPLOYEES, INCLUDING EMPLOYED INTERESTED PERSONS. THE INCENTIVE PORTION OF THE COMPENSATION IS INCLUDED IN THE COMPENSATION REVIEW CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, AS DESCRIBED IN SCHEDULE O FOR FORM 990 CORE, PART VI, LINE 15. THE PURPOSE OF MYSTEP IS TO ALIGN EMPLOYEES' INTERESTS WITH THE GOALS AND OBJECTIVES OF CDH-DELNOR HEALTH SYSTEM AND ALL RELATED ORGANIZATIONS BY PROVIDING FINANCIAL INCENTIVES LINKED TO THE CONTINUING AND SUSTAINABLE SUCCESS OF THE ORGANIZATIONS. FINANCIAL INCENTIVES ARE PAID BASED ON A SERIES OF MEASURES THAT INCLUDE: (I) PATIENT SATISFACTION; (II) FINANCIAL PERFORMANCE; AND (III) DEPARTMENTAL/TEAM-SPECIFIC GOALS. OVERALL ADMINISTRATION OF MYSTEP IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THIS INCENTIVE PROGRAM DOES NOT MEET THE STANDARDS AS SET OUT IN SCHEDULE J, PART I FOR LINES 5, 6 OR 7.

Schedule J (Form 990) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number

36-2513909

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MIDWEST NEUROSURGERY & SPINE SPECIALISTS	PHYSICIAN PRACTICE OF BOARD MEMBER, MATTHEW ROSS, MD	204,000	MEDICAL SERVICES PROVIDED TO CDH		No
(2) BRIAN GIBLIN	FAMILY MEMBER OF DR. JAMES GIBLIN, DIRECTOR	72,119	EMPLOYED BY ORGANIZATION		No

Part V

Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number

36-2513909

Part I

Types of Property

	(a) Check if applicable	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X	261,548	SELLING COST
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it

must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2012)

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Number of contributions or items contributed.	Schedule M, part I, column (b), Line 5

Schedule M (Form 990) (2012)

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number

36-2513909

Identifier	Return Reference	Explanation
NUMBER OF INDEPENDENT BOARD MEMBERS	FORM 990, PART VI, LINE 1B	FIVE OF THE TWENTY-TWO BOARD MEMBERS ARE NOT CONSIDERED TO BE INDEPENDENT UNDER THE IRS DEFINITION OF INDEPENDENCE. THOSE MEMBERS ARE: THE ORGANIZATION'S CEO; TWO BOARD MEMBERS WHO SERVE AS MEDICAL STAFF PRESIDENT FOR CENTRAL DUPAGE HOSPITAL OR DELNOR-COMMUNITY HOSPITAL (RELATED ORGANIZATION); AND, TWO BOARD MEMBERS WHOSE MEDICAL PRACTICES ARE COMPENSATED BY THE FILING ORGANIZATION OR A RELATED ORGANIZATION FOR PHYSICIAN SERVICES PROVIDED.
Family/business relationships amongst interested persons	Form 990, Part VI, Section A, Line 2	PATRICK FLINN AND WILLIAM WOLFORD - BUSINESS RELATIONSHIP
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	THE SOLE MEMBER OF CENTRAL DUPAGE HOSPITAL ASSOCIATION IS CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. MANAGEMENT DUTIES PROVIDED BY CDH-DELNOR HEALTH SYSTEM INCLUDE OPERATIONAL, STRATEGIC, BUDGETING AND LONG-RANGE PLANNING DUTIES, AS WELL AS FINANCE, INTERNAL AUDIT, PERSONNEL, TREASURY AND MARKETING SERVICES. THE INDIVIDUALS PROVIDING THESE SERVICES, INCLUDING THE CEO, CFO, AND OTHER SENIOR MANAGEMENT, ARE EMPLOYEES OF AND COMPENSATED BY CDH-DELNOR HEALTH SYSTEM. CDH PAYS A MANAGEMENT SERVICES FEE TO CDH-DELNOR HEALTH SYSTEM.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	CDH-DELNOR HEALTH SYSTEM, THE SOLE MEMBER AND PARENT ORGANIZATION, HAS THE POWER TO ELECT OR REMOVE ALL OF THE DIRECTORS OF CENTRAL DUPAGE HOSPITAL ASSOCIATION
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	CERTAIN DECISIONS OF THE CENTRAL DUPAGE HOSPITAL ASSOCIATION'S (CDH) GOVERNING BODY ARE SUBJECT TO APPROVAL BY CDH-DELNOR HEALTH SYSTEM, AS THE SOLE MEMBER OF CDH. THE MEMBER'S AUTHORITY INCLUDES THE POWER TO AMEND, ALTER, RESTATE OR REPEAL THE BYLAWS OF THE CORPORATION; TO NEGOTIATE AND EXECUTE CONTRACTS ON BEHALF OF THE CORPORATION; TO ADOPT A PLAN OF MERGER, CONSOLIDATION OR CORPORATE REORGANIZATION INVOLVING THE CORPORATION; TO ADOPT A PLAN OF DISSOLUTION OR LIQUIDATION OF THE CORPORATION AND DISTRIBUTION OF ITS ASSETS; AND, TO AMEND, ALTER, RESTATE OR REPEAL THE ARTICLES OF INCORPORATION OF THE CORPORATION. ACTIONS BY THE BOARD OF DIRECTORS REQUIRING THE APPROVAL OF THE SOLE MEMBER INCLUDE: ADOPTION OF CAPITAL AND OPERATING BUDGETS; ADOPTION AND EXECUTION OF A STRATEGIC PLAN; AND, AUTHORIZATION OF A CAPITAL EXPENDITURE IN EXCESS OF THE LIMITS ESTABLISHED BY THE SOLE MEMBER FROM TIME TO TIME.
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11b	PRIOR TO FILING, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY OUTSIDE TAX ADVISERS AND INTERNAL MANAGEMENT. AFTER THAT REVIEW IS COMPLETE, THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR ADDITIONAL REVIEW AND COMMENT.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	EACH YEAR, CENTRAL DUPAGE HOSPITAL (CDH) ASKS EACH BOARD MEMBER TO REVIEW THE CDH CONFLICT OF INTEREST POLICY AND TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, THE POLICY REQUIRES THAT BOARD MEMBERS DISCLOSE POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN ANNUAL STATEMENTS THROUGH SUPPLEMENTARY DISCLOSURES. BOTH THE ANNUAL STATEMENTS AND THE SUPPLEMENTARY DISCLOSURES ARE REVIEWED AND EVALUATED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF THE DIRECTORS. THE GOVERNANCE COMMITTEE IS DELEGATED THE RESPONSIBILITY TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT, AND FURTHER TO RECOMMEND CONFLICT MITIGATION STRATEGIES TO THE BOARD (WHICH MAY INCLUDE LIMITING A BOARD MEMBERS PARTICIPATION IN MATTERS WHERE AN ACTUAL CONFLICT EXISTS, TO BOARD MEMBER REMOVAL IF THE CONFLICT IS INCOMPATIBLE WITH ONGOING BOARD SERVICE). SIMILARLY, EACH YEAR CDH ASKS EACH EMPLOYEE TO REVIEW THE CDH CONFLICT OF INTEREST POLICY AND TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, THE POLICY REQUIRES THAT EMPLOYEES DISCLOSE POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN ANNUAL STATEMENTS THROUGH SUPPLEMENTARY DISCLOSURES. BOTH THE ANNUAL STATEMENTS AND THE SUPPLEMENTARY DISCLOSURES ARE REVIEWED AND EVALUATED BY THE DIRECTOR OF INTERNAL AUDIT AND COMPLIANCE. THE DIRECTOR IS DELEGATED THE RESPONSIBILITY TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT, AND FURTHER, TO RECOMMEND AND IMPLEMENT, WHERE APPROPRIATE, CONFLICT MITIGATION STRATEGIES. COMPLETION RESULTS ARE PROVIDED TO THE AUDIT & FINANCE COMMITTEE OF THE BOARD OF DIRECTORS.
Process used to establish compensation of top management official	Form 990, Part VI, Section B, Line 15a	THE TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS OF THE ORGANIZATION ARE COMPENSATED BY CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS AND IS DELEGATED THE RESPONSIBILITY FOR REVIEWING THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES (INCLUDING THE CHIEF EXECUTIVE OFFICER) AND OTHER KEY EMPLOYEES AND CERTAIN PHYSICIANS. THE PROCESS INCLUDES ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING THE APPROPRIATENESS OF COMPENSATION, WHICH INCLUDES REVIEWING COMPARABLE COMPENSATION STUDIES FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE COMPENSATION COMMITTEE ROUTINELY REPORTS TO THE FULL BOARD OF DIRECTORS ITS COMPENSATION RELATED ACTIVITIES, AND MAY FROM TIME TO TIME RECOMMEND MATTERS FOR THE FULL BOARD OF DIRECTORS CONSIDERATION (E.G., THE ESTABLISHMENT OF ANY NEW COMPENSATION OR BENEFIT PLAN). THE COMPENSATION COMMITTEE CONDUCTS A FORMAL REVIEW FOR THE ORGANIZATION'S EXECUTIVES AN ANNUAL BASIS, AND MAY MAKE DECISIONS RELATED TO COMPENSATION AND BENEFITS THROUGHOUT THE YEAR. THE COMPENSATION COMMITTEE RECEIVED AN INDEPENDENT CONSULTANT'S REPORT SUPPORTING THE REASONABLENESS OF THE ORGANIZATION'S EXECUTIVES' COMPENSATION FOR THE REPORTING PERIOD IN JULY, 2013.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	SEE THE NARRATIVE FOR FORM 990, PART VI, LINE 15A.
Governing documents, conflict of interest policy and financial statements available to the public	Form 990, Part VI, Section C, Line 19	VARIOUS PUBLIC AND PRIVATE ENTITIES MAY REQUIRE THE FILING OF SUCH DOCUMENTS AS PART OF A REGULATORY AND OUR CONTRACTUAL COMMITMENT, AND AS A RESULT OF SUCH OBLIGATIONS, CERTAIN OF THESE MATERIALS MAY, IN FACT, BE AVAILABLE TO THE PUBLIC. OUTSIDE OF SUCH DISCLOSURES, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE BY THE ORGANIZATION TO THE PUBLIC. NOTABLY, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED TO BE DISCLOSED PURSUANT TO IRC SECTION 6104.
REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS	FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (E)	JOHN ORSINI, AN OFFICER LISTED IN PART VII-A JOINED CDH-DELNOR HEALTH SYSTEM, A RELATED ORGANIZATION, IN 2013. THEREFORE THERE IS NO CALENDAR YEAR 2012 W-2 COMPENSATION TO REPORT FOR MR. ORSINI.
REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS	FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (E)	CDH-DELNOR HEALTH SYSTEM (A RELATED ORGANIZATION) PROVIDES BOARD MEMBERS WITH AN IPAD FOR USE AT BOARD MEETINGS AND TO RECEIVE BOARD-RELATED MATERIALS SENT ELECTRONICALLY. MOST BOARD MEMBERS RECEIVED THEIR IPAD IN CY11 AND THIS WAS REFLECTED ON THE FY12 FORM 990. ONE BOARD MEMBER RECEIVED AN IPAD DURING CY12, WHICH IS REPORTED IN THIS FY13 FORM 990, PART VII-A. BOARD MEMBERS RECEIVE A FORM 1099 REFLECTING THE COST OF THE IPAD RECEIVED.
Other changes in net assets or fund balances	Form 990 , Part XI, Line 9	NET ASSETS RELEASED FROM RESTRICTION - 500932; NET CHANGE IN NET ASSETS OF CADENCE HEALTH FOUNDATION - 8529912; FUND BALANCE TRANSFER TO CDH-DELNOR HEALTH SYSTEM - -171000000; FUND BALANCE TRANSFER TO CENTRAL DUPAGE PHYSICIAN GROUP - -13200000;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CENTRAL DUPAGE HOSPITAL ASSOCIATION

Employer identification number

36-2513909

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) CDH-DELNOR HEALTH SYSTEM 27W353 JEWELL RD WINFIELD,IL60190	MANAGEMENT	IL	501(C)(3)	Type II	CDH-DELNOR HEALTH SYSTEM		No
(2) CADENCE HEALTH FOUNDATION 27W353 JEWELL RD WINFIELD,IL60190	FUNDRAISING	IL	501(C)(3)	7	CDH-DELNOR HEALTH SYSTEM		No
(3) CENTRAL DUPAGE PHYSICIAN GROUP 27W353 JEWELL RD WINFIELD,IL60190	PRIMARY CARE	IL	501(C)(3)	9	CDH-DELNOR HEALTH SYSTEM		No
(4) COMMUNITY NURSING SERVICE OF DUPAGE COUNTY 690 E NORTH AVE CAROL STREAM,IL60188	HOME HEALTH	IL	501(C)(3)	9	CDH-DELNOR HEALTH SYSTEM		No
(5) CENTRAL DUPAGE SPECIAL HEALTH ASSOC 27W353 JEWELL RD WINFIELD,IL60190	PHARMACY	IL	501(C)(3)	9	CDH-DELNOR HEALTH SYSTEM		No
(6) PAHCS II 27W353 JEWELL RD WINFIELD,IL60190	OCCUP. HEALTH	IL	501(C)(3)	9	CDH-DELNOR HEALTH SYSTEM		No
(7) DELNOR-COMMUNITY HEALTHCARE FOUNDATION 300 RANDALL ROAD GENEVA,IL60134	HEALTH/FITNESS	IL	501(C)(3)	7	CDH-DELNOR HEALTH SYSTEM		No
(8) DELNOR-COMMUNITY RESIDENTIAL LIVING INC 300 RANDALL ROAD GENEVA,IL60134	RESIDENTIAL SERVICES	IL	501(C)(3)	9	CDH-DELNOR HEALTH SYSTEM		No
(9) LIVING WELL CANCER RESOURCE CENTER 300 RANDALL ROAD GENEVA,IL60134	WELLNESS	IL	501(C)(3)	7	CDH-DELNOR HEALTH SYSTEM		No
(10) DELNOR-COMMUNITY HOSPITAL 300 RANDALL ROAD GENEVA,IL60134	HOSPITAL	IL	501(C)(3)	3	CDH-DELNOR HEALTH SYSTEM		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) TRI-CITIES IMCARE 300 RANDALL ROAD GENEVA,IL60134 27-1942888	HEALTH CARE	IL	DELCOM	RELATED
(2) TRI-CITIES DIALYSIS 1300 WATERFORD DR LOWER LEVEL AURORA,IL60504 36-4272042	HEALTH CARE	IL	DELCOM	RELATED
(3) TRI-CITIES SURGERY 345 DELNOR DRIVE GENEVA,IL60134 51-0551673	HEALTH CARE	IL	DELCOM	RELATED
(4) TRI-CITIES CANCER 300 RANDALL ROAD GENEVA,IL60134 36-4009336	HEALTH CARE	IL	DELCOM	RELATED
(5) FVFPDELNOR PROPERTIES 300 RANDALL RD GENEVA,IL60134 45-1147062	PROPERTY MANAGEMENT	IL	DELCOM	EXCLUDED

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) DUPAGE HEALTH SERVICES INC 27W353 JEWELL RD WINFIELD,IL60190 36-3270521	HEALTHCARE	DE	CDH-DELNOR HEALTH SYSTEM	C CORPORATION
(2) DELCOM CORPORATION AND SUBSIDIARY 300 RANDALL ROAD GENEVA,IL60134 36-3334711	HEALTH MGMT	IL	CDH-DELNOR HEALTH SYSTEM	C CORPORATION
(3) UNITED PROFESSIONALS INSURANCE COMPANY LTD PO BOX 30600 GRAND CAYMANKY1-1203 CJ	OTHER INSURANCE FUNDS	CJ	CDH-DELNOR HEALTH SYSTEM	C CORPORATION
(4) CORNERSTONE MEDICAL GROUP 27W353 JEWELL RD WINFIELD,IL60190 36-4345453	PHYSICIAN SERVICES	IL	CENTRAL DUPAGE PHYSICIAN GROUP	C CORPORATION

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

1	Briefly describe the organization’s mission or most significant activities: CENTRAL DUPAGE HOSPITAL (CDH) PROVIDES MEDICAL SERVICES TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, AND OTHERWISE STRIVES TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WITHIN ITS COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	22
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	4,059
6	Total number of volunteers (estimate if necessary) .............	6	750
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	63,638,429
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	21,628,216

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	694,819	3,797,268
9	Program service revenue (Part VIII, line 2g) .........	760,694,984	831,310,040
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,474,361	7,422,302
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,376,741	6,524,093
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	773,240,905	849,053,703
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	65,230,316	1,895,165
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	236,511,591	240,074,606
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	359,250,039	422,701,421
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	660,991,946	664,671,192
19	Revenue less expenses. Subtract line 18 from line 12.......	112,248,959	184,382,511
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,029,440,344	1,058,903,148
21	Total liabilities (Part X, line 26).............	113,718,427	142,358,763
22	Net assets or fund balances. Subtract line 21 from line 20.....	915,721,917	916,544,385

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 550,367,912 including grants of $ 1,895,165 ) (Revenue $ 767,671,611 )
	CDH PROVIDES INPATIENT AND OUTPATIENT DIAGNOSTIC AND THERAPEUTIC MEDICAL CARE TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN FY2013, CDH PROVIDED INPATIENT CARE FOR 23,863 PATIENTS. IN ADDITION, CDH OPERATES AN EMERGENCY DEPARTMENT 24/7 WHERE 71,410 PATIENTS WERE TREATED, AND SIX COMMUNITY-BASED CONVENIENT CARE CENTERS WHERE 239,338 PATIENTS RECEIVED CARE IN FY2013. CDH ALSO DEMONSTRATES ITS COMMITMENT TO THE COMMUNITY BY WORKING CLOSELY WITH COMMUNITY PARTNERS TO IDENTIFY HEALTH NEEDS AND DETERMINE THE MOST EFFECTIVE WAY TO MEET THOSE NEEDS. THIS ACTIVITY RESULTS IN A VARIETY OF GRANTS AND COLLABORATIVE PROGRAMS THAT PROMOTE THE HEALTH AND WELLNESS OF THE COMMUNITY.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses550,367,912

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,136,377	7,774,504	437,961

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		2,978,614
e	Government grants (contributions)1e		557,106

f	All other contributions, gifts, grants, and similar amounts not included above1f		261,548

g	Noncash contributions included in lines 1a-1f:$		261,548
h	Total. Add lines 1a-1f.......			3,797,268
			Business Code
2a	HOSPITAL SERVICE REVENUE, NET		900099	831,310,040	767,671,611	63,638,429
b				0
c				0
d				0
e				0
f	All other program service revenue .			0	0	0	0
g	Total. Add lines 2a–2f........			831,310,040
3	Investment income (including dividends, interest, and other similar amounts).......			6,196,978			6,196,978
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	35,127,736	371,052
b	Less: cost or other basis and sales expenses	34,188,342	85,122
c	Gain or (loss)	939,394	285,930
d	Net gain or (loss)..........			1,225,324			1,225,324
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a		656,615
b	Less: cost of goods sold ..b		324,964
c	Net income or (loss) from sales of inventory..			331,651			331,651
Miscellaneous Revenue			Business Code
11a	CAFETERIA/VENDING		900099	2,739,782			2,739,782
b	MEANINGFUL USE REVENUE		900099	2,523,333			2,523,333
c	RESEARCH INCOME		900099	199,561			199,561
d	All other revenue ....			729,766	0	0	729,766
e	Total. Add lines 11a–11d ......			6,192,442
12	Total revenue. See Instructions......			849,053,703	767,671,611	63,638,429	13,946,395


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			135,933	1	503,249
2	Savings and temporary cash investments .........			10,111,838	2	3,562,382
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			140,000,526	4	149,309,435
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6	0
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			1,824,961	8	2,133,239
9	Prepaid expenses and deferred charges ..........			8,586,653	9	10,096,788
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	918,756,673
b	Less: accumulated depreciation .....	10b	378,828,585	553,869,034	10c	539,928,088
11	Investments—publicly traded securities ..........			298,327,178	11	331,633,135
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			16,584,221	15	21,736,832
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,029,440,344	16	1,058,903,148
17	Accounts payable and accrued expenses .........			107,553,444	17	104,061,149
18	Grants payable .................			9,006	18	62,398
19	Deferred revenue ................				19	7,083,333
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22	0
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			6,155,977	25	31,151,883
26	Total liabilities. Add lines 17 through 25.........			113,718,427	26	142,358,763
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			915,721,917	27	908,014,473
28	Temporarily restricted net assets ...........				28	8,529,912
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			915,721,917	33	916,544,385
34	Total liabilities and net assets/fund balances ........			1,029,440,344	34	1,058,903,148